ProMED: The missing case #100

[alert]

http://www.promedmail.org/pls/otn/f?p=2400:1001:645563154470337::NO::F2400_P1001_BACK_PAGE,F2400_P1001_PUB_MAIL_ID:1000,81512

Archive Number 20100225.0628
Published Date 25-FEB-2010
Subject PRO/AH/EDR> Avian influenza, human (17): Egypt, 100th case


AVIAN INFLUENZA, HUMAN (17): EGYPT, 100TH CASE
**********************************************
A ProMED-mail post
<http://www.promedmail.org>
ProMED-mail is a program of the
International Society for Infectious Diseases
<http://www.isid.org>

Date: Wed 17 Feb 2010
Source: Strengthening Avian Influenza Detection & Response (SAIDR) [edited]
<http://www.saidr.org/en/humans.php#190210-2>


The missing 100th case: Dakahlia Governorate
--------------------------------------------
A boy, age 10 years, began to exhibit symptoms on 10 Feb 2010. He was
referred to EL Bakry Hospital-Cairo in moderate condition. Tamiflu
(oseltamivir) treatment was started on 14 Feb 2010. Infection with HPAI
[highly pathogenic avian influenza -- that is, avian influenza (H5N1) virus
infection] was confirmed on 17 Feb 2010. The Ministry of Health (MOH)
reported this was case number 100 of highly pathogenic avian influenza in
Egypt. (Source of report: Egyptian MOH).

--
communicated by:
ProMED-mail rapporteur Mary Marshall

[Previously the Egyptian Ministry of Health had omitted to identify the
100th case. This report rectifies that omission.

Some confusion remains, however. The SAIDR report above (text not shown)
identifies the 30 year old woman in Kafr El Sheikh governorate as the 101st
case, and a 13 year old boy in the same governorate as the 102nd case,
whereas the previous Ministry of Health report (see: Avian influenza, human
(15): Egypt, 101st & 102nd cases 20100220.0584) identifies the boy as the
101st case and the woman as the 102nd case. None of these cases has been fatal.

The governorates of Egypt can be seen via the map at
<http://en.wikipedia.org/wiki/Governorates_of_Egypt>. The
HealthMap/ProMED-mail interactive map of Egypt is available at
<http://healthmap.org/r/008F>. - Mod.CP]

[Laidback Al]

Re: ProMED: The missing case #100

Some confusion remains, however. The SAIDR report above (text not shown) identifies the 30 year old woman in Kafr El Sheikh governorate as the 101st case, and a 13 year old boy in the same governorate as the 102nd case, whereas the previous Ministry of Health report (see: Avian influenza, human (15): Egypt, 101st & 102nd cases 20100220.0584) identifies the boy as the 101st case and the woman as the 102nd case. None of these cases has been fatal.

Generally, the case count sequence is based on the date of onset.The confusion may be cleared up when the onset dates are made public. Neither the SAIDR report nor the previous EMOH report have announced onsets dates for these two individuals.

[Twall]

Re: ProMED: The missing case #100

will ask about this issue...I suspect the first report was factual.

both sets of information should have came from the emohp directly. The information should be published based on that report.There is and information sharing and distribution agreement which outlines the specific chain of release for case information.

[Twall]

Re: ProMED: The missing case #100

I have been told the information posted on the SAIDR site was confirmed by the "emohp" prior to being made publicly available on their site.